Table 4.
Vaccination Practices Among Cliniciansa and Pharmacistsb for Select Vaccines, U.S., Internet Panel Survey, 2017
| Standard | Influenza | PCV13 | PPSV23 | Zoster | Tdap | Td | HPV | Hepatitis B | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| nc | % (95% CI) |
n | % (95% CI) |
n | % (95% CI) |
n | % (95% CI) |
n | % (95% CI) |
n | % (95% CI) |
n | % (95% CI) |
n | % (95% CI) |
|
| Assess | ||||||||||||||||
| Clinicians | ||||||||||||||||
| IMd | 370 | 98.6 (96.6, 99.5) |
369 | 88.5 (84.4, 91.6) |
369 | 90.4 (86.6, 93.1) |
369 | 84.6 (80.2, 88.2) |
370 | 87.7 (83.6, 90.8) |
367 | 80.1 (75.3, 84.2) |
368 | 60.9 (55.3, 66.3) |
369 | 74.5 (69.4, 79.0) |
| FM | 479 | 99.2 (98.0, 99.7) |
477 | 90.9 (87.6, 93.4) |
476 | 93.8 (91.2, 95.7) |
478 | 86.8 (82.9, 90.0) |
478 |
94.4 (91.7, 96.3) |
478 | 82.2 (77.8, 85.9) |
478 |
68.9 (63.8, 73.5) |
478 | 77.9 (73.3, 81.8) |
| OB/GYN | 445 |
92.2 (88.2, 95.0) |
444 |
32.5 (27.5, 38.0) |
442 |
37.2 (31.8, 42.8) |
444 |
49.1 (43.4, 54.7) |
444 |
81.3 (76.2, 85.5) |
444 |
48.7 (43.1, 54.4) |
444 |
88.9 (84.7, 92.1) |
444 | 68.5 (62.9, 73.6) |
| Other specialty | 407 |
80.0 (74.7, 84.5) |
406 |
54.4 (48.5, 60.2) |
406 |
57.2 (51.3, 63.0) |
406 |
52.9 (46.9, 58.8) |
403 |
38.8 (33.1, 44.8) |
405 |
39.4 (33.7, 45.3) |
403 |
24.7 (20.0, 30.1) |
406 |
49.5 (43.6, 55.4) |
| Pharmacists | 261 | 93.9 (91.0, 96.8) |
261 | 83.9 (78.9, 88.8) |
261 | 85.1 (80.5, 89.8) |
261 | 88.0 (84.0, 91.9) |
257 | 61.8 (55.5, 68.2) |
257 | 28.9 (22.9, 34.8) |
257 | 19.4 (14.3, 24.5) |
258 | 34.7 (28.5, 41.0) |
| Recommend | ||||||||||||||||
| Clinicians | ||||||||||||||||
| IMd | 370 | 95.2 (92.3, 97.1) |
370 | 85.8 (81.6, 89.1) |
369 | 90.1 (86.3, 92.9) |
370 | 89.5 (85.7, 92.4) |
369 | 87.6 (83.5, 90.8) |
370 | 76.6 (71.6, 81.0) |
368 | 68.6 (63.3, 73.5) |
369 | 83.3 (78.9, 87.0) |
| FM | 479 | 97.1 (94.8, 98.4) |
477 | 90.6 (87.1, 93.2) |
478 | 91.9 (88.8, 94.2) |
479 | 91.5 (88.0, 94.0) |
478 |
94.4 (91.7, 96.3) |
478 | 78.8 (74.2, 82.7) |
475 |
77.6 (72.9, 81.8) |
478 | 85.9 (82.0, 89.0) |
| OB/GYN | 445 | 93.3 (89.7, 95.7) |
438 |
37.3 (32.1, 42.9) |
438 |
46.2 (40.6, 52.0) |
442 |
63.6 (58.0, 68.8) |
441 | 84.6 (80.0, 88.4) |
440 |
43.4 (37.9, 49.1) |
444 |
91.2 (87.0, 94.1) |
443 |
69.5 (63.8, 74.6) |
| Other specialty | 408 |
85.3 (80.4, 89.2) |
406 |
59.3 (53.4, 65.0) |
407 |
64.9 (59.0, 70.3) |
407 |
65.6 (59.7, 71.0) |
406 |
47.5 (41.5, 53.4) |
406 |
41.4 (35.6, 47.4) |
407 |
34.6 (29.2, 40.4) |
408 |
48.1 (42.2, 54.0) |
| Pharmacists | 261 | 86.7 (82.3, 91.2) |
261 | 80.4 (75.2, 85.7) |
261 | 81.0 (75.8, 86.3) |
261 | 85.9 (81.3, 90.4) |
260 | 72.5 (66.8, 78.3) |
258 | 43.1 (36.7, 49.6) |
260 | 38.7 (32.3, 45.1) |
260 | 48.0 (41.5, 54.5) |
| Stock | ||||||||||||||||
| Clinicians | ||||||||||||||||
| IMd | 369 | 91.0 (87.1, 93.8) |
368 | 72.4 (67.0, 77.1) |
364 | 78.3 (73.2, 82.6) |
368 | 57.1 (51.4, 62.7) |
370 | 80.2 (75.5, 84.3) |
367 | 71.0 (65.7, 75.9) |
365 | 51.6 (45.9, 57.3) |
366 | 71.0 (65.6, 75.8) |
| FM | 479 | 94.0 (91.0, 96.1) |
478 |
79.2 (74.8, 83.0) |
478 | 80.7 (76.2, 84.4) |
479 | 51.1 (45.9, 56.2) |
478 |
88.8 (85.0, 91.7) |
475 | 73.6 (68.9, 77.9) |
479 |
70.9 (66.0, 75.4) |
479 |
78.9 (74.6, 82.7) |
| OB/GYN | 445 |
75.7 (70.3, 80.3) |
440 |
15.6 (12.3,19.8) |
439 |
16.4 (12.9, 20.7) |
440 |
17.9 (14.1, 22.5) |
445 |
61.1 (55.3, 66.6) |
439 |
23.4 (19.1, 28.4) |
444 |
71.4 (65.8, 76.4) |
443 |
31.6 (26.6, 37.1) |
| Other specialty | 407 |
51.1 (45.2, 57.0) |
406 |
26.2 (21.2, 32.0) |
407 |
28.9 (23.8, 34.7) |
406 |
20.9 (16.4, 26.4) |
407 |
22.8 (18.2, 8.2) |
406 |
21.5 (17.0, 26.8) |
404 |
12.2 (8.7, 16.7) |
406 |
22.5 (17.7, 28.2) |
| Pharmacists | 261 | 92.6 (89.2, 95.9) |
260 | 88.8 (84.7, 93.0) |
261 | 88.8 (84.7, 92.8) |
261 | 91.6 (88.1, 95.1) |
261 | 78.2 (72.8, 83.7) |
259 | 29.0 (23.1, 34.9) |
259 | 35.3 (29.1, 41.5) |
258 | 51.4 (44.9, 58.0) |
| Refer | ||||||||||||||||
| Clinicians | ||||||||||||||||
| IMd | 369 | 18.6 (14.5, 23.5) |
369 | 25.2 (20.5, 30.5) |
370 | 21.8 (17.4, 26.9) |
370 | 43.6 (38.1, 49.3) |
370 | 21.5 (17.2, 26.5) |
370 | 16.8 (13.0, 21.5) |
369 | 33.3 (28.2, 38.9) |
369 | 26.8 (22.1, 32.1) |
| FM | 478 | 21.4 (17.5, 26.0) |
478 | 26.6 (22.3, 31.5) |
478 | 23.4 (19.5, 28.5) |
478 |
55.2 (50.1, 60.2) |
478 | 20.5 (16.6, 25.0) |
478 | 19.3 (15.6, 23.7) |
479 | 28.9 (24.5, 33.7) |
478 | 26.2 (22.0, 31.0) |
| OB/GYN | 443 |
37.1 (31.7, 42.8) |
443 |
58.3 (52.7, 63.8) |
443 |
61.8 (56.2, 67.1) |
443 |
69.9 (64.7, 74.7) |
441 |
46.8 (41.2, 52.6) |
442 |
45.2 (39.6, 50.9) |
444 | 30.7 (25.7, 36.3) |
444 | 59.7 (54.1, 65.1) |
| Other specialty | 408 |
54.8 (48.7, 60.7) |
408 |
45.7 (39.9, 51.6) |
407 |
50.2 (44.3, 56.1) |
406 |
59.7 (53.6, 65.5) |
406 |
43.5 (37.7, 49.4) |
407 |
39.0 (33.5, 44.9) |
406 |
42.4 (36.7, 48.4) |
408 | 44.9 (39.1, 50.8) |
| Pharmacists | 260 | 17.1 (12.2, 22.0) |
260 | 16.6 (11.6, 21.6) |
260 | 17.6 (12.5, 22.6) |
261 | 15.9 (11.1, 20.7) |
260 | 24.7 (19.0, 30.4) |
260 | 35.2 (28.9, 41.6) |
261 | 45.7 (39.2, 52.2) |
261 | 38.6 (32.2, 45.1) |
| Refer, practice does not stock | ||||||||||||||||
| Clinicians | ||||||||||||||||
| IMd | 36 | 70.4 (51.9, 83.9) |
107 | 58.8 (48.1, 68.7) |
84 | 64.6 (52.9, 74.8) |
160 | 72.2 (63.8, 79.2) |
81 | 59.2 (46.8, 70.5) |
114 | 29.6 (21.4, 39.2) |
187 | 56.5 (48.7, 64.5) |
114 | 71.9 (61.9, 80.1) |
| FM | 32 | 83.7 (67.7, 92.6) |
113 |
80.3 (71.5, 87.0) |
102 | 73.0 (62.0, 81.7) |
225 |
85.3 (79.0, 90.0) |
60 | 74.1 (58.9, 85.1) |
136 | 38.0 (28.8, 48.0) |
151 |
71.4 (61.6, 79.6) |
115 | 80.4 (71.4, 87.1) |
| OB/GYN | 106 | 84.0 (75.0, 90.2) |
359 | 64.1 (57.9, 69.9) |
359 | 69.2 (63.2, 74.6) |
357 | 79.8 (74.9, 84.0) |
154 |
80.6 (72.8, 86.5) |
328 |
52.9 (46.3, 59.4) |
118 |
73.6 (62.8, 82.2) |
300 | 77.1 (71.3, 82.1) |
| Other specialty | 208 | 79.4 (72.1, 85.2) |
307 | 55.1 (48.2, 61.8) |
294 | 61.8 (54.7, 68.4) |
333 | 68.6 (62.0, 74.6) |
318 | 48.7 (42.0, 55.5) |
325 |
43.1 (36.6, 49.8) |
359 |
44.1 (37.9, 50.5) |
329 |
52.4 (45.8, 58.9) |
| Pharmacists | 19 | 69.2 (45.3, 93.0)e |
29 | 48.9 (27.9, 70.0)e |
29 | 47.7 (27.2, 68.2)e |
23 | 65.0 (43.4, 86.6)e |
54 | 64.7 (50.6, 78.9) |
184 | 40.0 (32.3, 47.7) |
168 | 59.1 (51.1, 67.1) |
122 | 60.2 (50.9, 69.4) |
Note: Boldface indicates statistical significance (p < 0.05 by t-test comparing to the reference group). Assess = Respondents were asked: Does the main outpatient practice where you work routinely assess the vaccination status of adult patients for the following vaccines? Respondents were asked to give a response for each individual vaccine (yes/no/unsure). Respondents who selected unsure were excluded. Recommend = Respondents were asked: At the main outpatient practice where you work, do you or other staff recommend the following vaccines for adult patients seen at your practice? Respondents were asked to give a response for each individual vaccine (yes/no/unsure). Respondents who selected unsure were excluded. Stock = Respondents were asked: At the main outpatient practice where you work, which of the following vaccines are stocked? Respondents were asked to give a response for each individual vaccine (yes/no/unsure). Respondents who selected unsure were excluded. Refer = Respondents were asked: At the main outpatient practice where you work, for which vaccines do you or other staff refer adult patients to another provider or location? Respondents were asked to give a response for each individual vaccine (yes/no/unsure). Respondents who selected unsure were excluded. Refer, do not stock = This analysis only reports responses among respondents who reported not stocking respective vaccines for the previous question (denominator varies by vaccine type).
Clinicians include physicians, nurse practitioners, and physician assistants. Data for clinicians were obtained from the 2017 National Survey of Healthcare Providers Regarding Vaccination Practices for Adults, conducted for the Centers for Disease Control and Prevention by Abt Associates.
Data for pharmacists were obtained from the 2017 National Survey of Pharmacists Regarding Vaccination Practices for Adults, conducted for the Centers for Disease Control and Prevention by Abt Associates.
Unweighted data.
Reference group used for pairwise significance testing among clinician specialties.
Estimate may be unreliable due to small sample size (n < 30) or relative SE (SE/estimates) > 0.3.
FM, family medicine; hepatitis B, hepatitis B vaccine; HPV, human papillomavirus vaccine; IM, internal medicine; influenza, seasonal influenza vaccine; PCV13, 13-valent pneumococcal conjugate vaccine; PPSV23, 23-valent pneumococcal polysaccharide vaccine; Td, tetanus and diphtheria toxoids; Tdap, tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis; zoster, herpes zoster vaccine.